Voprosy pitaniiaPub Date : 2025-01-01Epub Date: 2025-01-15DOI: 10.33029/0042-8833-2025-94-1-71-81
Yu V Menshchikova, E A Vilms, D V Turchaninov, O V Kozubenko, A V Brusentsova, M S Turchaninova, T A Yunatskaya, O N Glagoleva, A D Chubarova
{"title":"[Hygienic assessment of the effectiveness of the implementation of the Federal Project «Strengthening public health» in terms of forming a commitment to healthy nutrition among the adult population of the Omsk region in 2018-2023].","authors":"Yu V Menshchikova, E A Vilms, D V Turchaninov, O V Kozubenko, A V Brusentsova, M S Turchaninova, T A Yunatskaya, O N Glagoleva, A D Chubarova","doi":"10.33029/0042-8833-2025-94-1-71-81","DOIUrl":"https://doi.org/10.33029/0042-8833-2025-94-1-71-81","url":null,"abstract":"<p><p>In the Omsk region, which since 2019 has been one of the five pilot regions of Russia for the implementation of measures to promote healthy eating within the framework of the federal project «Strengthening Public Health» of the national project «Demography», experience has been accumulated that potentially allows us to assess the effectiveness of such measures within the framework of medium-term programs at the regional level, which is an urgent task. <b>Objective</b> of the study: hygienic assessment of the effectiveness of measures to form commitment to healthy nutrition among the population of the Omsk region during the implementation of the federal project «Strengthening Public Health». <b>Material and methods</b>. In 2018, a representative sample of the adult population aged 18-85 years (n=241) was formed, quota-based by gender, age, and area of residence; in 2023, a similar sample (n=506) was formed. All subjects were interviewed using a single questionnaire containing socio-demographic data, forms for studying the frequency of food consumption and 24-hour food reproduction, a block of questions concerning the assessment of knowledge and practices in the field of healthy eating and the construction of a daily diet. <b>Results</b>. In 2023, compared to 2018, the proportion of the population with energy consumption above the physiological requirement decreased from 42.7 to 37.2% (p<0.01). The median consumption of saturated fatty acids, cholesterol, phospholipids, transisomers of fatty acids decreased significantly, while the consumption of polyunsaturated fatty acids and dietary fiber increased (p≤0.0003). There was a significant increase in the consumption of vitamins B1, C, magnesium, potassium, while the amount of vitamins D, В2, biotin, choline, calcium, and zinc in the diet decreased. An improvement in the level of knowledge and practices of the adult population of the region in the field of healthy nutrition was revealed. <b>Conclusion</b>. The results indicate the successful implementation of measures to form a commitment to healthy nutrition among the adult population of the region within the framework of the federal project «Strengthening Public Health» of the national project «Demography» in certain areas. Priority problems of population nutrition for correction in the near future have been identified. The proposed model for assessing the effectiveness of measures to form commitment to healthy nutrition among the population can be used to improve preventive activities at the regional level.</p>","PeriodicalId":23652,"journal":{"name":"Voprosy pitaniia","volume":"94 1","pages":"71-81"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144014302","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Voprosy pitaniiaPub Date : 2025-01-01Epub Date: 2025-02-03DOI: 10.33029/0042-8833-2025-94-1-100-109
N V Tyshko, K A Timoshenko, S I Shestakova, V A Zotov
{"title":"[Management with micronutrient composition of entomoproducts by edible insects' feeding schedule optimisation].","authors":"N V Tyshko, K A Timoshenko, S I Shestakova, V A Zotov","doi":"10.33029/0042-8833-2025-94-1-100-109","DOIUrl":"https://doi.org/10.33029/0042-8833-2025-94-1-100-109","url":null,"abstract":"<p><p>The trend to the modern food industry's reorientation into the manufacturing of food with increased nutritional density, enriched, among other things, with complete protein, leads to the need to expand the raw material base and search for non-traditional protein sources, among which insects are considered to be a very promising resource. The insects species composition, the food use of which is approved in countries that previously had no tradition of using such raw materials, is represented by ubiquitous synanthropic organisms that have accompanied mankind for thousands of years - the mealybug (Tenebrio molitor), house cricket (A. domesticus) and others. In particular, A. domesticus belongs to polyphagous species that feed both plant and animal substrates, producing their own complete protein. Based on the results of our own research and analysis of literature data, the chemical composition of arthropods potentially used for food purposes requires careful control due to the possible risk of excessive content of mineral components. Both regulation of feed composition and feeding schedule of insects, taking into consideration their age and species affiliation, can be considered as risk management methods. <b>The purpose</b> of the research was the investigation of the influence of feeding schedule on the micronutrient (mineral) composition of house cricket A. domesticus biomass. <b>Material and methods</b>. The A. domesticus house cricket produced by ONTO LLC was used for this research. Elemental analysis of 8 insect samples was carried out. The content of potassium, sodium, calcium, magnesium, manganese, cobalt, chromium, nickel, iron, copper, zinc, lead and cadmium in insect biomass samples was determined by atomic absorption spectroscopy. The element composition of cricket biomass (age of the 6th moult and adults) obtained under different feeding schedule was assessed from the view point of the possibility for using insects as a source of relevant mineral substances, for which the element content in biomass was compared with the norms of physiological requirements for humans. <b>Results</b>. In insect samples kept under conditions of stable feed supply, the content of calcium, iron, copper, zinc and manganese increased with insect growth, reaching a maximum level at the stage of the 6th moult and decreasing when the adult age was reached. At all stages of insect growth, incubation without food for 24 hours resulted in a 45% decrease in the content of copper and zinc, a 33% decrease in calcium and manganese, and a 15% decrease in iron. No effect of insect feeding schedule on the content of potassium, sodium, magnesium, and chromium, as well as lead and cadmium in biomass was revealed. <b>Conclusion</b>. House crickets can serve a source of minerals and trace elements in the human diet, and there is a risk of excessive intake of mineral elements when using raw materials from A. domesticus in food. In spite of the fact that the results of th","PeriodicalId":23652,"journal":{"name":"Voprosy pitaniia","volume":"94 1","pages":"100-109"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143998313","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Voprosy pitaniiaPub Date : 2024-01-01Epub Date: 2024-07-15DOI: 10.33029/0042-8833-2024-93-4-31-38
I V Averyanova, O O Alyoshina
{"title":"[The effect of ω-3 polyunsaturated fatty acids on carbohydrate metabolism in northern men].","authors":"I V Averyanova, O O Alyoshina","doi":"10.33029/0042-8833-2024-93-4-31-38","DOIUrl":"10.33029/0042-8833-2024-93-4-31-38","url":null,"abstract":"<p><p>Omega-3 polyunsaturated fatty acids (PUFA) are known for being one of the most important classes of bioactive lipids; of them, the long-chain ones, namely eicosapentaenoic (EPA) and docosahexaenoic (DHA) acids, have many positive effects on the human body. <b>The aim</b> of this study was to assess the carbohydrate metabolism in northern men living in the Magadan Region before and after the administration of a dietary supplement with PUFA. <b>Material and methods</b>. The study included 45 men (mean age 40.0±0.8 years), of whom 2 groups comparable in age and analyzed parameters were formed by random sampling. The participants of the main group (n=30) consumed PUFA (2 capsules containing 1200 mg, including 660 mg EPA and 440 mg DHA), and the control group (n=15) had no impact on the diet. Fasting venous blood was collected using a vacuum system to determine glycated hemoglobin (HbA1c) using the turbidimetric immunoinhibition, glucose by the hexokinase method, insulin by the immune chemiluminescence using paramagnetic particles at the beginning (late October, 2023) and the end (mid-December, 2023) of the study, and HOMA-IR index was calculated. The daily diet was assessed using the ASPON-nutrition program (St. Petersburg) based on the results of the food diary keeping for 3 days (weekdays). <b>Results</b>. In men of the main group, positive changes in the carbohydrate profile were noted, associated with the intake of ω-3 PUFAs, manifested in HbA1c decrease (from 5.5±0.1 to 5.2±0.1%, p<0.05) while maintaining blood concentration of glucose and insulin and HOMA-IR at the same level. Unlike the main group, the control group experienced disadaptation in their carbohydrate metabolism as they exhibited the signs of hyperinsulinemia (increased basal fasting insulin level from 8.8±1.2 to 11.4±1.1 mIU/l, p<0.05) and insulin resistance (the increase in the HOMA-IR from 2.0±0.2 to 2.6±0.3, p<0.05), which was apparently due to the autumn-winter period of the study. <b>Conclusion</b>. Resulting from the data obtained, this study showed the presence of a leveling function and even an optimizing role of additional ω-3 PUFAs intake with respect to seasonal changes in the biochemical parameters of the northern residents during the crucial period of the year with its temperature curve transition through 0 °C.</p>","PeriodicalId":23652,"journal":{"name":"Voprosy pitaniia","volume":"93 4","pages":"31-38"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142476060","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Voprosy pitaniiaPub Date : 2024-01-01Epub Date: 2024-07-15DOI: 10.33029/0042-8833-2024-93-4-74-83
O A Soboleva, V I Minina, A V Torgunakova, R A Titov, A A Yakovleva, I S Milentyeva, L K Asyakina, A Yu Prosekov
{"title":"[Vitamin D status in connection with <i>VDR</i> and <i>GC</i> genes polymorphism in coal mining workers].","authors":"O A Soboleva, V I Minina, A V Torgunakova, R A Titov, A A Yakovleva, I S Milentyeva, L K Asyakina, A Yu Prosekov","doi":"10.33029/0042-8833-2024-93-4-74-83","DOIUrl":"10.33029/0042-8833-2024-93-4-74-83","url":null,"abstract":"<p><p>Vitamin D is a unique compound that can enter the human body not only with food, but also be synthesized in the skin under the influence of ultraviolet radiation. Individual differences in the need for this vitamin may be associated with the carriage of polymorphic variants of genes that implement its biological effects, which include VDR BsmI C>T (rs1544410), VDR TaqI A>G (rs731236) and GC rs2282679 T>G. At risk for vitamin D deficiency are workers in the coal mining industry, whose working conditions combine limited insolation and a pronounced deficiency of vitamins in the diet. <b>The purpose</b> of the study was to assess vitamin D plasma level in coal mining workers depending on the carriage of polymorphic variants of the VDR BsmI C>T (rs1544410), VDR TaqI A>G (rs731236) and GC rs2282679 T>G genes and professional working conditions. <b>Material and methods</b>. The study included 154 coal mining workers. The main group consisted of 100 workers associated with the underground nature of work, the comparison group - 54 ground workers of the enterprise. In all individuals, the level of 25-hydroxyvitamin D in blood plasma was determined by enzyme-linked immunosorbent assay and genotyping was performed for three polymorphic loci: VDR rs1544410, rs731236, GC rs2282679 by real-time PCR. <b>Results</b>. A statistically significant decrease in the concentration of plasma vitamin D in the underground workers was revealed, compared with the level of this vitamin in ground workers of the enterprise (p=0.037). Underground workers - carriers of the CT genotype of the VDR rs1544410 gene, AG of the VDR rs731236 gene and TT of the GC rs2282679 gene had a lower 25(OH)D level in blood plasma compared to owners of similar genotype variants in the comparison group (p<0.05). Among ground workers, carriers of the TT genotype of the GC rs2282679 gene had a significantly higher vitamin D plasma level compared to carriers of the TG and GG genotypes (p=0.02). An association of the GC gene with vitamin D level in blood plasma was revealed according to a dominant model of inheritance (OR=0.47, 95% CI 0.23-0.97; p=0.037, for owners of the TT genotype, compared with carriers of the TG+GG genotypes). <b>Conclusion</b>. The development of personalized diets based on individual genetic status may be of great importance for the prevention of diseases associated with vitamin D deficiency in individuals at risk.</p>","PeriodicalId":23652,"journal":{"name":"Voprosy pitaniia","volume":"93 4","pages":"95-104"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142476063","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Voprosy pitaniiaPub Date : 2024-01-01Epub Date: 2024-11-11DOI: 10.33029/0042-8833-2024-93-6-76-83
A A Barilo, S V Smirnova
{"title":"[The role of food allergy in the development of rosacea].","authors":"A A Barilo, S V Smirnova","doi":"10.33029/0042-8833-2024-93-6-76-83","DOIUrl":"10.33029/0042-8833-2024-93-6-76-83","url":null,"abstract":"<p><p>Rosacea is a chronic skin disease in which a violation of its barrier function can lead to the penetration of various allergens that normally do not penetrate, and as a result, the development of sensitization. The study of the spectrum of sensitization to food allergens in patients with rosacea is especially relevant, since it can contribute to the discovery of new disease triggers and determine a personalized approach to therapy. <b>The aim</b> of the research was to study the features of the spectrum of sensitization to food and pollen (cross-reacting) allergens in patients with rosacea. <b>Material and methods</b>. The study involved patients with rosacea (group 1, n=30). The mean age of the patients was 36.0±2.6 years. The control group consisted of practically healthy patients comparable in terms of sex and age (group 2, n=20). All patients underwent a specific allergic examination: collection of an allergic anamnesis, skin prick testing with food and pollen allergens (Allergopharma, Germany) with an assessment of the magnitude of hyperemia (from + to ++++). Taking into account the results of a specific allergy testing, patients with rosacea were prescribed an individual elimination diet with the exclusion of causative allergens, including cross-reacting ones, for a period of 1 month. <b>Results</b>. The most significant food allergens in rosacea were rye and wheat flour proteins and egg yolk: 62.1, 46.7 and 47.8% of cases, respectively. Almost half of the patients showed sensitization to beef meat (46.1%), oats (42.9%), and soy (44.4%). The most common pollen allergens in the spectrum of sensitization in rosacea patients were meadow and grass pollen - 65.5% and 58.9%, respectively. A significant reduction in the severity of the inflammatory reaction on the face skin after a 4-week elimination diet was noted in 56.7% of patients. <b>Conclusion</b>. The positive clinical effect of eliminating causative allergens in rosacea confirms the role of food allergy in the pathology and justifies the need for joint efforts of allergist/immunologists and dermatologists in personalized diet therapy of patients.</p>","PeriodicalId":23652,"journal":{"name":"Voprosy pitaniia","volume":"93 6","pages":"76-83"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068366","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Voprosy pitaniiaPub Date : 2024-01-01Epub Date: 2024-09-05DOI: 10.33029/0042-8833-2024-93-5-43-56
Yu A Sinyavskiy, D N Tuigunov, U N Kapysheva, Sh K Bakhtiyarova, Kh S Sarsembayev, G S Zhunussova, Ye N Omarov, B O Bekmanov, B I Zhaksymov, E E Makashev, A B Junussova
{"title":"[The effect of intaking a new sport food on milk and fruit basis on blood biochemical indicators and antioxidant status in athletes].","authors":"Yu A Sinyavskiy, D N Tuigunov, U N Kapysheva, Sh K Bakhtiyarova, Kh S Sarsembayev, G S Zhunussova, Ye N Omarov, B O Bekmanov, B I Zhaksymov, E E Makashev, A B Junussova","doi":"10.33029/0042-8833-2024-93-5-43-56","DOIUrl":"10.33029/0042-8833-2024-93-5-43-56","url":null,"abstract":"<p><p>The problem of developing special food with targeted medical and biological properties is a pressing issue not only for sports medicine, but also for nutrition science. <b>The aim</b> of the research was to provide a medical and biological justification for the development and to evaluate the effectiveness of using new sport food (SF) in the form of a bar. <b>Material and methods</b>. The milk-fruit bar was developed on the basis of dry goat milk, dry whey, fruit and berry and grain raw materials, hydrolysate and isolate of plant and animal proteins, vitamin premix, as well as dry cultures of lacto- and bifidobacteria Bifidobacterium bifidum BB79, Streptococcus lactis SL215, Lactobacillus acidophilus LA72 (in a 1:1:1 ratio). The assessment of the effectiveness of a SF was carried out on 2 groups of professional athletes involved in martial arts (MMA), Greco-Roman wrestling, triathlons and pentathlon. 42 athletes were included in the control group and 46 athletes were included in the main group. Athletes in the main group consumed 4 milk-fruit bars (120 g) daily in addition to their basic diet, while athletes in the control group received placebo bars equivalent in calorie value (150 g). The complex examination before and after a 21-day training cycle, in combination with SF intake, included the study of body composition, hematological (red blood cells, hemoglobin, leukocytes, lymphocytes, erythrocyte sedimentation rate, hematocrit) and biochemical studies (plasma total protein, albumin, cholesterol, lactate) as well as studying the antioxidant status of athletes [malondialdehyde (MDA) and diene conjugates (DC) in blood serum]. <b>Results</b>. On the 21st day of SF intake, the cholesterol level decreased by 14.5-18.9% (p<0.05) in individuals involved in Greco-Roman wrestling, MMA and triathlon, in athletes involved in pentathlon - by 11.3% (p>0.05) compared to the initial level in blood plasma. Lactate level also lowered in athletes involved in Greco-Roman wrestling and triathlon by 14.2-28.3% (p<0.05), in other sports - by 12.2-17.6% (p>0.05). At the same time, these indicators did not change significantly in athletes from the control group. In addition, the lactate level in triathletes at the end of the study was 23.2% lower compared to the level in athletes from the control group (p<0.05). SF intake led to the decrease (p<0.05) in blood serum of athletes involved in the presented sports of MDA level by 20.0-27.9% (except for triathletes) and of DC - by 14.3-48.5% (except for athletes involved in Greco-Roman wrestling). In athletes of the control group after taking a placebo bar, the level of MDA significantly decreased by 20.0% only in individuals involved in MMA. <b>Conclusion</b>. The developed SF can be recommended for nutrition of athletes involved in various sports.</p>","PeriodicalId":23652,"journal":{"name":"Voprosy pitaniia","volume":"93 5","pages":"43-56"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142677132","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Voprosy pitaniiaPub Date : 2024-01-01Epub Date: 2024-11-11DOI: 10.33029/0042-8833-2024-93-6-57-66
N V Tyshko, K A Timoshenko, E O Sadykova
{"title":"[Edible insects' proteome in the safety aspect of entomoprotein's food application].","authors":"N V Tyshko, K A Timoshenko, E O Sadykova","doi":"10.33029/0042-8833-2024-93-6-57-66","DOIUrl":"10.33029/0042-8833-2024-93-6-57-66","url":null,"abstract":"<p><p>Currently, the Russian Federation is considering the possibility of using insects as food raw materials, which, first of all, is positioned as a source of complete protein, therefore, the methodology of safety assessment of such products should include studying the proteomic profile of entomoprotein. Proteome profiling of the insect-derived novel food opens fresh opportunities not only for assessing their safety, but also for developing methods of elimination of potentially allergenic proteins from the final product. Modern technological approaches aimed at destruction or modification of the structure of such proteins, namely chemical modification (glycosylation, phosphorylation, acylation) and complexation with polyphenols, anthocyanins and other compounds, along with wet and dry thermal exposure, hydrolysis, fermentation, irradiation, ultrasound or high hydrostatic pressure treatment, will provide the possibility of obtaining products with reduced allergenic potential. <b>The purpose</b> of the work was to assess the current state of proteomic profiling of insect proteins in the aspect of the safety of their food application. <b>Material and methods</b>. The analytical part of the work included literature search, collection of information and statistical materials published in domestic and foreign scientific publications, the search was conducted using the Google Academy search engine and electronic databases PubMed, MEDLINE, EMBASE, Scopus, Web of Science, eLIBRARY, mainly for the last 25 years. <b>Results</b>. Proteomic profile data on a number of edible insects were analyzed and systematized. Three arthropod-specific proteins (hemocyanin, chemosensory protein, and odorant-binding protein) were identified, as well as 58 nonspecific proteins (including those found in plants - at least 52 (90%), in fungi - 49 (84%), in mollusks - 47 (81%), in crustaceans - 53 (91%), and in other animals - 54 (93%). The possibility of entomoproteins' allergenicity reducing by their thermal treatment and hydrolysis was studied. <b>Conclusion</b>. Based on the analysis, it was concluded that most of the entomoproteins are not unique and are also present in traditional food sources. The potential IgE-binding allergens identified in edible insects correspond mainly to pan-allergens with crossreactivity with some homologous proteins present in other arthropods (mites, crustaceans), molluscs and nematodes. Only hemocyanin, chemosensory protein, and odorant-binding protein can be classified as specific proteins found in arthropods (particularly insects and crustaceans). Of all the proteins studied, only one is found exclusively in insects, the so-called cockroach allergen-like protein, which occupies a special place because its structure and function are still unclear and require further study.</p>","PeriodicalId":23652,"journal":{"name":"Voprosy pitaniia","volume":"93 6","pages":"57-66"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068359","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Voprosy pitaniiaPub Date : 2024-01-01Epub Date: 2024-11-11DOI: 10.33029/0042-8833-2024-93-6-105-116
L K Ibrayeva, D K Rybalkina, A R Alina, I V Bacheva, M K Aubakirova, O S Klassen, P V Ovtsynov
{"title":"[Bioimpedansometry in patients with chronic lung diseases in the context of the pulmonary-cardio-renal continuum].","authors":"L K Ibrayeva, D K Rybalkina, A R Alina, I V Bacheva, M K Aubakirova, O S Klassen, P V Ovtsynov","doi":"10.33029/0042-8833-2024-93-6-105-116","DOIUrl":"10.33029/0042-8833-2024-93-6-105-116","url":null,"abstract":"<p><p>Bioelectrical impedance analysis is a method widely used to assess body composition and parameters related to health and its disorders, which has prognostic value in gastroenterology, endocrinology, nephrology, cardiology, pulmonology, oncology, surgery and critical care. <b>The purpose</b> of this study was to analyze bioimpedance measurements in patients with chronic lung diseases [interstitial lung diseases (ILD), chronic obstructive pulmonary disease (COPD)] in relation to clinical and biochemical parameters for assessing respiratory, cardiac and renal failure. <b>Material and methods</b>. An analysis of bioimpedance data obtained during diagnostics on the InBody 770 device was carried out in relation to clinical (heart rate, blood pressure, saturation before and after the 6-minute walk test) and biochemical parameters (serum creatinine and N-terminal prohormone of brain natriuretic peptide - NT-pro-BNP), in 197 patients with chronic lung diseases aged 25 to 60 years (117 patients with COPD, 86.0% men and 80 patients with ILD, 83.8% women). <b>Results</b>. A proportion of patients with COPD and ILD had changes in body composition, manifested by an increase in fat mass (57.3% of patients with COPD and 70% of patients with ILD) and a decrease in skeletal muscle mass (24.8% of patients with COPD and 27.5% of patients with ILD). The mean values of the phase angle (50 kHz) for the whole body in both groups were below the reference values. When analyzing the relationship between the phase angle (50 kHz) for the whole body and age, there was a weak inverse relationship according to the Evans scale (r=-0.23 in patients with COPD and r=-0.33 in patients with ILD). The NT-pro-BNP level was higher than reference values in both studied groups, which may indicate cardiac dysfunction. The whole-body phase angle in the ILD and COPD group had moderate and weak inverse relationships with NT-pro-BNP for men and women (r=-0.49 and -0.39; r=-0.25 and -0.22, respectively). After the 6-minute walk test, the saturation level decreased in patients of both groups. The body hydration index indicated moderate edema, more pronounced in women. The hydration index had a direct weak relationship with NT-pro-BNP level (r=0.21 and 0.38 in patients with COPD and ILD, respectively). <b>Conclusion</b>. A number of bioimpedance parameters (phase angle, hydration index) in patients with COPD and ILD had relationships with biochemical parameter of cardiac dysfunction (NT-pro-BNP). Assessment of body composition by bioimpedancemetry in patients with chronic lung diseases is necessary for a comprehensive analysis of health status with recommendations for correcting the identified changes.</p>","PeriodicalId":23652,"journal":{"name":"Voprosy pitaniia","volume":"93 6","pages":"105-116"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068354","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Voprosy pitaniiaPub Date : 2024-01-01Epub Date: 2024-07-15DOI: 10.33029/0042-8833-2024-93-4-14-21
V I Popov, I A Bavykina, A A Zvyagin, L A Miroshnichenko, D V Bavykin
{"title":"[The importance of amaranth products in the diet of children with gluten intolerance].","authors":"V I Popov, I A Bavykina, A A Zvyagin, L A Miroshnichenko, D V Bavykin","doi":"10.33029/0042-8833-2024-93-4-14-21","DOIUrl":"10.33029/0042-8833-2024-93-4-14-21","url":null,"abstract":"<p><p>The study of gluten intolerance is a modern area of medical science. With the advent of new diagnostic capabilities and data on the forms of the disease, wide opportunities have opened up in optimizing the timing and invasiveness reducing of intervention during diagnosis and further monitoring of the child's health. However, despite all efforts, the basic method of treating all forms of gluten intolerance remains strict adherence to a gluten-free diet (GFD). It is known that GFD itself, as well as low adherence to its observance can lead to nutritional disorders. Therefore, the expansion of the diet at the expense of foods with high nutritional value will greatly contribute to the optimization of diet therapy and compensation for food restrictions. <b>The purpose</b> of the review was to evaluate the possibility of using amaranth products in a GFD to fill the need for nutrients in children with gluten intolerance. <b>Material and methods</b>. The search for literature data was carried out using PubMed, eLIBRARY, scholar.google platforms mainly over the last 5 years, using the keywords: gluten intolerance, children, amaranth, gluten-free diet. <b>Results</b>. An analysis of modern literary sources has shown that amaranth is a product of choice in diet therapy when following a GFD, since it is a pseudo-grain crop. The article presents data confirming the high nutritional value of amaranth due to the protein component and the features of the lipid fraction. The features of the amino acid composition and squalene content in comparison with other plant crops are discussed. The article contains information on the preservation of the beneficial properties of amaranth in finished foods, in particular, the addition of amaranth flour instead of corn starch increases the protein content by 32% and fiber by 152% in gluten-free bread without affecting the taste. The advantages of the chemical composition of amaranth are shown in comparison with other pseudo-cereals. The research results prove the effectiveness of using amaranth products in GFD to eliminate deficiency states in patients, normalize physical development in children with gluten intolerance, and increase patient adherence to the diet. <b>Conclusion</b>. The composition of amaranth and the available studies on the effectiveness of amaranth products consumption convincingly prove the advisability of using it in nutrition, especially under dietary restrictions or increased need for nutrients in childhood.</p>","PeriodicalId":23652,"journal":{"name":"Voprosy pitaniia","volume":"93 4","pages":"14-21"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142476061","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Voprosy pitaniiaPub Date : 2024-01-01Epub Date: 2024-02-01DOI: 10.33029/0042-8833-2024-93-2-63-72
A V Starodubova, N N Shaposhnikova, Yu R Varaeva, T V Kirichenko, Yu V Markina, T V Tolstik, D V Nikityuk
{"title":"[The influence of diet therapy and regular physical trainings on monocyte chemoattractant protein-1 (MCP-1) secretion by monocytes among obese patients with coronary heart disease].","authors":"A V Starodubova, N N Shaposhnikova, Yu R Varaeva, T V Kirichenko, Yu V Markina, T V Tolstik, D V Nikityuk","doi":"10.33029/0042-8833-2024-93-2-63-72","DOIUrl":"10.33029/0042-8833-2024-93-2-63-72","url":null,"abstract":"<p><p>Chronic systemic inflammation is one of the leading pathogenetic pathways for the development of atherosclerosis in obese patients. In this regard, it seems promising to evaluate the effect of the diet and physical exertion on the proinflammatory activity of monocytes. <b>The purpose</b> of this research was to evaluate the effect of the diet and regular physical trainings on the secretion of monocyte chemotactic factor 1 (MCP-1) by monocytes in obese patients with coronary artery disease. <b>Material and methods</b>. 27 obese participants (body mass index >30 kg/m2) with a confirmed diagnosis of coronary heart disease were recruited. All participants were prescribed with 12 weeks of a specialized diet with a restriction of simple carbohydrates and salt, a 500-kcal daily energy deficit, and with inclusion of cruciferous (200 g per day), seasonal dark berries (70 g per day) and green tea (200 ml per day). The regular assisted physical trainings were also administered. The body composition, blood biochemical parameters and MCP-1 secretion rates in the primary culture of monocytes isolated from blood samples via the immunomagnetic separation method were assessed before and after the intervention. <b>Results</b>. As a result, after the 12-weeks intervention the reliable body weight loss (-4.0%), waist circumference (-4.2%), visceral fat (-5.4%), total cholesterol (-9.8%), LDL-cholesterol (-16.6%) and triglycerides (-26.0%), an improvement in the results of the 6-minute walk test (+10.33%) was achieved, as well as an LPS-stimulated monocytes secretion of MCP-1 decreased by 2.8 times (p=0.005). <b>Conclusion</b>. Overall, the results suggest that diet and regular physical activity in patients with obesity and coronary heart disease may decrease the functional \"proinflammatory\" activity of monocytes.</p>","PeriodicalId":23652,"journal":{"name":"Voprosy pitaniia","volume":"93 2","pages":"63-72"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141175718","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}